Tim.
I had my pouch removed after two plus years of problems.
Now if you can go a different route... Yes... I would have my self.
I was more or less terrified to have to have an ileo the rest of my life.
But after a month plus I find it was the right choice and I can live with it.
Now... I am near 60 yrs old. Didn't want to spend years trying different things. But if you are a young man I would explore my options. Otherwise an ileo eliminates... Well it did for me.... Eliminated all.... ALL... Of the problems I was having.
Of course I have quite an adjustment to make but I feel it is coming along better than I would have ever expected.
And like I said I was terrified to do this. Because there is no return.
I would explore the other options.. K pouch... Bcir... These were not right for me. It got to the point in the last few weeks I did just want it out. It was wearing me out.
There will be more advice coming. But if the ileo is your option. Don't be afraid. I was for nothing.
I wish you the best.
Richard.